Individual
MODUKPE DEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 FARNAM ST STE 323, OMAHA, NE 68102-1880
(402) 714-6631
Mailing address
1299 FARNAM ST STE 323, OMAHA, NE 68102-1880
(402) 714-6631
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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